The Catalyst Counseling & Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE CATALYST COUNSELING & CONSULTING, LLC

Practice address

140 The Lakes Blvd Ste 221
Kingsland, GA 31548-5667

Phone

(912) 387-2407

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christian Bianca Booker, ED.D., LCSWNPI 1922659192

Title

Licensed Clinical Social Worker

Phone

(912) 674-5014

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Bianca Booker

  • Clinical Social Worker
  • Saint Marys, GA
  • NPI 1922659192
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1063055085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 DANIEL TRENT WAY",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486098",
            "telephone_number": "912-674-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THE LAKES BLVD STE 221",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485667",
            "telephone_number": "912-387-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CATALYST COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "BIANCA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "912-674-5014",
        "authorized_official_credential": "ED.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.